100 faces of hypertrophy

[Pages:29]HYPERTROPHY: Behind the curtain

V. Yotova St. Radboud Medical University Center,

Nijmegen

Disclosure of interest: none

Relative wall thickness (cm) M 0.22?0.42 0.43?0.47 0.48?0.52 0.53 F 0.24?0.42 0.43?0.46 0.47?0.51 0.52

Left ventricular hypertrophy is defined as an increase in the mass of the left ventricle, which can be secondary to an increase in wall thickness, an increase in cavity size, or both.

Too simple to be enough !

? Hypertension ? Hypertrophic

cardiomyopathy

? Aortic valve stenosis ? Amyloidosis ? Genetic diseases: Fabry,

Friedreich

? Non-compaction

Systemic approach

? The type of LV

remodeling

? Systolic function:

global (EF)/regional

? Diastolic function:

global/regional

? Special features of

specific diseases

Role of echocardiography

? Echocardiography is a reliable method to visualize the

specific patterns of LV hypertrophy, and quantify the systolic and diastolic function.

? New techniques in echocardiography have provided

insight into regional myocardial motion and deformation.

? Tissue Doppler imaging, as well as grayscale 2D speckle

tracking, provides more sensitive markers of early myocardial dysfunction compared with standard echocardiography.

Arterial Hypertension

Arterial Hypertension

Aortic stenosis

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